Individual
DR. JASON LANCE LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
811 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 427-1400
Mailing address
811 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 427-1400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16004
FL
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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